Insurance Verification Representative - Clinic

Physicians Regional Healthcare System; Naples (FL); On-site; USD 22,000 - 30,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, vision, and life ins.

PTO and extended illness benefits

401(k) with company match

Career development and advancement

Licensure and certification reimburse

Student loan support

Employee rewards and recognition

Pet insurance, identity protection, &

Job summary

Physicians Regional Healthcare System in Naples, FL is seeking an Insurance Verification Representative to verify insurance coverage and benefits for scheduled procedures. You will help obtain prior authorizations when needed and support a seamless patient experience within clinical and administrative teams.

This onsite clinic-based role requires 0-2 years in insurance verification or healthcare billing, strong attention to detail, and solid data-entry skills.

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related healthcare role
• Basic knowledge of insurance terminology and coverage concepts
• Proficiency with data entry and patient records in a billing system

Responsibilities

• Verify patient insurance information, eligibility, benefits, and coverage limitations.
• Review scheduled services to determine needed pre-certifications or authorizations.
• Coordinate with insurers to obtain required authorizations and approvals.
• Communicate insurance requirements to patients and answer coverage questions.
• Enter and update insurance data in medical records and billing systems.

Skills

Attention to detail

Communication skills

Data entry

Healthcare software

Time management

Job description

Why Join Us?

• Be Valued for What You Bring to the Team - Competitive pay that rewards your hard work
• Benefits You Can Count On - Medical, dental, vision, and life insurance coverage
• Work Hard. Recharge Often. - Generous PTO and extended illness benefits
• Invest in Your Future - 401(k) with company match
• Grow With Us - Career development, learning opportunities, and advancement pathways
• We Invest in Your Success - Licensure and certification reimbursement for eligible roles
• Student Loan Support - Assistance available for eligible roles
• Your Wins Deserve Recognition - Employee rewards and recognition programs
• A Team You'll Love Working With - A collaborative, purpose-driven culture making a difference every day
• Additional Voluntary Benefits - Choose from options such as pet insurance, identity protection, and legal insurance.

Great people. Great benefits. Meaningful work. Join us and make an impact.

• This Position is Onsite at our Clinic Location

Job Summary

The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.

Essential Functions

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
• Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
• Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
• Accurately enters and updates insurance information in the patient's medical record and billing systems.
• Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
• Assists with resolving denied authorizations and facilitates appeals as required.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related role in a healthcare setting required

Knowledge, Skills And Abilities

• Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
• Strong attention to detail and accuracy in data entry and documentation.
• Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
• Ability to manage time effectively and work in a fast-paced environment.
• Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.